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Contact Information

GAUTAM A AGRAWAL, MD
2825 OAK LAWN AVE UNIT 192749
DALLAS, TX75219-4688
 Phone: 844-389-5711
 Fax: 877-880-2039
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for GAUTAM A AGRAWAL · (Male)

NPI Number 1285717389
Status Active
Credentials MD
Entity Individual
Enumeration date 10/23/2006
Last updated 09/10/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # A90996
  • CT License # 66308
  • TX License # R8853
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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